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21. Comparison Tables for Making Healthcare Safer Reports | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
    September 01, 2022 - Radiological Safety Practices for Hospitalized or Institutionalized Elders Sepsis Recognition Surgery, Anesthesia …   Patient Monitoring Systems (Not reviewed) (Not reviewed) Summary of Evidence   Surgery, Anesthesia … Prevention of Surgical Items Being Left Inside Patient Summary of Evidence Update (Not reviewed) Pre-Anesthesia

22. Improving Communication and Teamwork in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
    May 01, 2017 - The anesthesia professional shares the anesthetic plan and airway and other concerns, allowing adequate … It is at this point that the nurse and anesthesia professional discuss necessary information with the … Similar sharing is encouraged from the anesthesia professional, the circulating nurse, and the scrub … The team should include at least one— Administrator Surgeon/physician Anesthesia professional … Make sure that your implementation team also includes an anesthesia professional.

23. Patient Safety Organizations: A Summary of 2014 Profiles (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
    January 01, 2014 - PSOs that collect patient safety event reports for single event types did so only for anesthesia, surgery … PSOs collected information on all event categories, and the other six collected information only on anesthesia-related … Summary of Initial Report Form) and then applying Common Formats for falls, pressure ulcers, surgery/anesthesia … An article published in the July 2014 issue of Anesthesia and Analgesia describes Wake Up Safe’s standardized

24. Weighted Summary Statistics: PUF Commercial Inpatient File (Version 2) (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-PUF-Summary-Statistics-Commercial-Inpatient-Weighted.pdf
    September 26, 2023 - Frequency Cumulative Percent (Null Value) Missing/Unknown 9,121,460 95.64 9,121,460 95.64 00100-01999: Anesthesia … Frequency Cumulative Percent (Null Value) Missing/Unknown 9,231,154 96.80 9,231,154 96.80 00100-01999: Anesthesia … Frequency Cumulative Percent (Null Value) Missing/Unknown 9,291,639 97.43 9,291,639 97.43 00100-01999: Anesthesia … Frequency Cumulative Percent (Null Value) Missing/Unknown 9,330,342 97.84 9,330,342 97.84 00100-01999: Anesthesia … Frequency Cumulative Percent (Null Value) Missing/Unknown 9,355,942 98.10 9,355,942 98.10 00100-01999: Anesthesia

25. Section 2: Explanation of Key Team Leadership Concepts and Tools | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/teamstepps-program/curriculum/team/tools/index.html
    July 01, 2023 - Inpatient (Tertiary Care Facility): The Contingency Team may be composed of the cardiac surgeon, anesthesia … Inpatient (Operating Room): The Contingency Team may be composed of anesthesia staff. … Situational leaders emerge at designated times, such as during anesthesia induction, and spontaneously

26. Two Indiana Facilities Use AHRQ Toolkit to Revise Medication Reconciliation | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/news/newsroom/case-studies/ktcquips91.html
    October 01, 2014 - The post-anesthesia care unit can now print an updated medication list after surgery, and the surgeon

27. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
    September 01, 2022 - measures, including ones related to opioid use/misuse, surgical site infections, and other surgical and anesthesia-related

28. Grand Rounds Presentation | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
    August 01, 2022 - Anesthesia was scheduled to be present for this procedure, but due to other emergencies, the GI physician … When he arrived, anesthesia was no longer available. … The University of Illinois at Chicago adopted improved policies regarding anesthesia coverage for cases

29. Patient Experience Measures from the CAHPS® Surgical Care Survey (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/surgical/measures-surgical-409.pdf
    November 28, 2017 - rating of the surgeon (single item) This survey also produces two measures of patient experience with anesthesia … Response Options  0-10 Patient Experience with Anesthesia Care Note: Testing during the survey … Surgical Care Survey Measures Appendix: Survey Items Organized by Measure Patient Experience with Anesthesia

30. Mod01-Grand-Rounds-Slides (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
    April 01, 2016 - Anesthesia was scheduled to be present for this procedure, but due to other emergencies, the GI physician … When he arrived, anesthesia was no longer available. … ) ■ The University of Illinois at Chicago adopted improved policies regarding anesthesia coverage

31. Using Simulation in TeamSTEPPS Training: Classroom Slides | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/teamstepps/simulation/simulationslides/simslides.html
    June 01, 2019 - The patient's primary nurse believes epidural anesthesia would be appropriate and informs the obstetrician … handoff techniques   Return to Top   Consider Level of Analysis Individuals MD Nurse Anesthesia

32. Issue Brief Explores the Unique Challenges of Studying and Improving Diagnostic Safety for Children | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/news/newsletters/e-newsletter/879.html
    September 01, 2023 - Anesthesia Risk Alert program: a proactive safety initiative .

33. PQMP Measures | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/pqmp/measures/index.html
    Dedicated to the Obstetrical Service by an Anesthesiologist Who Is Qualified To Provide Obstetrical Anesthesia

34. TeamSTEPPS Fundamentals Course: Module 2. Team Structure | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/teamstepps/instructor/fundamentals/module2/igteamstruct.html
    March 01, 2014 - Inpatient (Tertiary Care Facility) : The Contingency Team may be composed of the cardiac surgeon, anesthesia … Inpatient (Operating Room) : The Contingency Team may be composed of anesthesia staff.

35. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/patient-safety/resources/learning-lab/index.html
    February 01, 2024 - The specific aims were to: Improve the usability of anesthesia-related alarms in the OR. … Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery Principal Investigator … HS26625 Project Period: 09/30/18-07/30/23 Description: This learning lab is conducting a study of anesthesia … engineers, pharmacists, and certified registered nurse anesthesiologists to engineer reductions in anesthesia … Understand and improve workspace design and safety culture to influence anesthesia medication selection

36. Patient Narratives Can Catalyze Staff Improvement and Bolster Survey Scores | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/news/newsletters/e-newsletter/900.html
    February 01, 2024 - Anesthesia workspaces for safe medication practices: design guidelines.

37. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
    November 01, 2021 - documented o Pressure ulcer prevention intervention in place o Secondary patient morbidity • Surgery or anesthesia … COVID- 19 PHE (e.g., falls, pressure injuries, perinatal events, venous thromboembolisms, surgery and anesthesia … infection 1,775 73 Medication or other substance 98 17 Perinatal 37 15 Pressure ulcer 74 12 Surgery or anesthesia

38. Slide 1 (ppt file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/simulation/simslides-update-62819.ppt
    January 30, 2006 - The patient’s primary nurse believes epidural anesthesia would be appropriate and informs the obstetrician … handoff techniques TEAMSTEPPS 05.2 Mod 1 05.2 Page * Page * Simulation Individuals MD Nurse Anesthesia

39. TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety (pdf file)
    pcmh.ahrq.gov/downloads/pub/advances2/vol3/advances-king_1.pdf
    April 07, 2008 - emerged in anesthesiology over a decade ago with the work of David Gaba and colleagues who developed Anesthesia … Simulation- based training in anesthesia crisis resource management (ACRM): A decade of experience. … Anesthesia crisis resource management training: Teaching anesthesiologists to handle critical incidents … Trauma: Resuscitation, anesthesia, surgery, and critical care.

40. Implementing TeamSTEPPS to the Perioperative Service Area
    pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/teamstepps-webinar-051017.pptx
    January 01, 2017 - Socialize TeamSTEPPS with Perioperative Leaders: Surgical Chiefs of Service Surgical Service Managers Anesthesia